Based on public Medicaid payment data.
Angelica M Pentecost
Medicaid Provider in San Antonio, TX
Type
Individual Provider
Address
207 E. Evergreen St.
San Antonio, TX 782120000
Phone
2102233543
NPI
1699173435
Procedures
1
Total Claims
12
Patients Served
12
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $0.00 | 12 | 12 |
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